Mark A Brunner is a Periodontics in Augusta, Georgia. Mark A Brunner practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark A Brunner is 1891714135. The last update date is 2017-10-19.
Mark A Brunner's current location address is 1430 John Wesley Gilbert Dr., Augusta, Georgia. You can contact this provider via phone number 7067212442. The mailing address for Mark A Brunner is 1430 John Wesley Gilbert Dr., Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark A Brunner |
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Address | 1430 John Wesley Gilbert Dr., Augusta, Georgia |
Phone Number | 7067212442 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1891714135 |
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Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2017-10-19 |
Provider Mailing Address Detail
Address | 1430 John Wesley Gilbert Dr. |
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City | Augusta |
State | Georgia (GA) |
Post Code | 303273007 |
Phone Number | 7067212442 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 12499 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Mark A Brunner by the Centers for Medicare & Medicaid Services?
The Mark A Brunner has been issued the NPI (National Provider Identifier) 1891714135. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark A Brunner's facilities are geographically located?
The facilities of Mark A Brunner are physically situated at the following location: 1430 John Wesley Gilbert Dr., Augusta, GA, 303273007.
What is the Mark A Brunner's specialty and taxonomy code?
The Mark A Brunner's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Mark A Brunner receive its 1891714135 assignment from the Centers for Medicare & Medicaid Services?
The Mark A Brunner was assigned its 1891714135 by the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the Mark A Brunner's information last updated?
The Mark A Brunner's information was last updated on 2017-10-19.